Zhao J C
Henan Provintial People's Hospital, Zhengzhou.
Zhonghua Wai Ke Za Zhi. 1992 Jan;30(1):14-7, 61.
Interposition arthroplasty of knee joint, using island fascia flap, was performed on 90 rabbits. The fascia flap was vessel pedicled in 54 rabbits and not vessel pedicled in 36 for control. Results of the vessel pedicled island fascia flaps showed that clinically, the range of joint motion was 142.5 degrees on the average. Histologically, the transplanted fascia showed good vascularity and elasticity. There were no signs of adhesion or degeneration. Analogous cartilage appeared in 12 to 15 months. In the control group, the average joint motion was 83.61 degrees and the transplanted fascia showed degeneration of varying degree in each cases. On the basis of these experimental findings, we performed interposition arthroplasty with vessel-pedicled island fascia flap on 20 patients suffering from different joint diseases. The joints were 14 hips, 3 knees, and 3 elbows. Follow-up for 9 to 48 months after arthroplasty revealed clear-up of previous troubles with satisfactory function.
对90只家兔施行带血管蒂岛状筋膜瓣膝关节间置成形术。54只家兔采用带血管蒂筋膜瓣，36只家兔采用不带血管蒂筋膜瓣作为对照。带血管蒂岛状筋膜瓣的结果显示，临床上，关节平均活动范围为142.5度。组织学上，移植的筋膜显示良好的血管化和弹性。无粘连或退变迹象。12至15个月出现类似软骨。对照组中，关节平均活动度为83.61度，移植的筋膜在各病例中均有不同程度的退变。基于这些实验结果，我们对20例患有不同关节疾病的患者施行带血管蒂岛状筋膜瓣间置成形术。关节包括14个髋关节、3个膝关节和3个肘关节。成形术后随访9至48个月，既往问题消失，功能满意。
